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NPI Code Detail

MEDICARE: BUDDING BEHAVIOR THERAPY

MEDICARE: BUDDING BEHAVIOR THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1659970572
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUDDING BEHAVIOR THERAPY
Provider Business Mailing Address
First Line : 895 N OPDYKE RD STE D
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2694
Country : US
Telephone Number : 586-884-7052
Fax Number : 586-838-2472
Provider Business Practice Location Address
First Line : 895 N OPDYKE RD STE D
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-2694
Country : US
Telephone Number : 586-884-7052
Fax Number : 586-838-2472
Authorized Official
Title or Position : OWNER/BCBA
Name : MARIAH MILTON-HARRISON
Credential : BCBA
Telephone Number : 586-884-7052
Provider Enumeration Date : 10/21/2020
Last Update Date : 11/14/2022

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Directions to “BUDDING BEHAVIOR THERAPY ” Practice Location

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